MARK D LEVIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133730

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

Last Name

LEVIN

Business Name

MARK D LEVIN MD

Original Issue Date

08/07/2013

Effective Date

09/30/2014

Expiration Date

07/31/2017

City

SAINT LOUIS

State

Zip

63108

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017